Abstract
Background
Capsule endoscopy relies on an intact swallowing mechanism and unimpeded passage of
the capsule through the pylorus. A technique is described for endoscopic delivery
of the capsule in patients with dysphagia, anatomical abnormality, or gastroparesis.
Methods
EGD is performed with concomitant placement of an overtube. A foreign body net retrieval
device is passed through the endoscope and used to grasp the activated capsule in
the net. The endoscope then is advanced through the overtube, and the capsule is released
in the duodenum.
Observations
Five patients underwent endoscopic placement of the capsule. Relative contraindications
to peroral ingestion were the following: oropharyngeal dysphagia, pyloric stenosis
(2), prior gastric surgery, and gastroparesis. Endoscopic delivery was successful
in all cases and yielded positive findings in 4. There was no complication.
Conclusions
Endoscopic delivery of the capsule endoscope for patients with dysphagia, anatomical
abnormality, or gastroparesis is safe and effective.
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References
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Article info
Publication history
Accepted:
September 30,
2003
Received in revised form:
September 4,
2003
Received:
June 26,
2003
Footnotes
☆This material was presented in part at the American Society for Gastrointestinal Endoscopy Video Forum, May 19, 2003, Digestive Diseases Week, Orlando, Florida.
Identification
Copyright
© 2004 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
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